SMOKEY MOUNTAIN ANESTHESIA PC
NPI 1538196829
Nurse Anesthetist, Certified Registered in Johnson City, TN

Active since June 26, 2006
110 MED TECH PKWY, JOHNSON CITY, TN 37604(423) 722-0371 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 11, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Smokey Mountain Anesthesia Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SMOKEY MOUNTAIN ANESTHESIA PC (NPI 1538196829) is a healthcare organization registered as a nurse anesthetist, certified registered in Johnson City, Tennessee and active in the NPI registry since June 2006. The organization lists James Root, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1538196829
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameSMOKEY MOUNTAIN ANESTHESIA PC
Location Address110 MED TECH PKWYJohnson City, TN 37604-4004
Mailing AddressPo Box 5665Johnson City, TN 37602-5665 · (423) 639-0941
Organization SubpartNo
Authorized OfficialJames RootManaging Partner · (423) 967-3436
Enumeration DateJune 26, 2006
Last NPPES UpdateJanuary 11, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2022
✔ NPI 1538196829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
110 MED TECH PKWY, Johnson City, TN 37604

Other Identifiers 1

Medicaid3723481TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Smokey Mountain Anesthesia Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Smokey Mountain Anesthesia PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (10)

Certified Registered Nurse Anesthetist (CRNA)
NPI 1962473587
110 MED TECH PKWY
Johnson City, TN 37604
(423) 722-0371
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1386975738
601 MED TECH PKWY
Johnson City, TN 37604
(423) 610-1020
✔ Accepts Medicare0.5 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1548492457
1009 NOVUS DR STE 2
Johnson City, TN 37604
(423) 283-0776
✔ Accepts Medicare1.8 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1265824130
1009 NOVUS DR STE 2
Johnson City, TN 37604
(423) 283-0776
✔ Accepts Medicare1.8 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1336848738
400 N STATE OF FRANKLIN RD
Johnson City, TN 37604
(423) 431-6111
✔ Accepts Medicare2.4 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1477090173
10415 WALLACE ALLEY ST
Kingsport, TN 37663
(423) 390-0451
✔ Accepts Medicare10.0 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1053402172
2000 BROOKSIDE DR
Kingsport, TN 37660
(423) 857-7144
✔ Accepts Medicare16 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1720071756
713 YADKIN ST
Kingsport, TN 37660
(423) 245-4935
✔ Accepts Medicare16 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1376817700
130 W RAVINE RD
Kingsport, TN 37660
(423) 224-4000
✔ Accepts Medicare17 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1811386105
130 W RAVINE RD
Kingsport, TN 37660
(423) 224-4000
✔ Accepts Medicare17 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Smokey Mountain Anesthesia PC's NPI number?

The NPI number for Smokey Mountain Anesthesia PC is 1538196829. It was assigned to this organization in the NPPES registry on June 26, 2006.

Where is Smokey Mountain Anesthesia PC located?

Smokey Mountain Anesthesia PC is located at 110 Med Tech Pkwy, Johnson City, TN 37604. The listed phone number is (423) 722-0371.

What is Smokey Mountain Anesthesia PC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Smokey Mountain Anesthesia PC enrolled in Medicare?

Yes. Smokey Mountain Anesthesia PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Smokey Mountain Anesthesia PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Smokey Mountain Anesthesia PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Smokey Mountain Anesthesia PC was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.